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PMT14-03067 i City of Menifee Permit No.: PMT14-03067 29714 HAUN RD. Type: Residential Re-Roof j CC�%k�." MENIFEE, CA 92586 sa .uwn MENIFEE Date Issued: 1111912014 PERMIT Site Address: 25880 WARWICK RD, MENIFEE, CA Parcel Number: 339-062-015 92585 Construction Cost: $6,500.00 Existing Use: Proposed Use: Description of INSTALL 30YR COMP OVER EXISTING SINGLE LAYER SHINGLES Work: Owner Contractor LEWIS SORRELL HOUSETOP ROOFING 25880 WARWICK ROAD 31760 BRIGGS ROAD MENIFEE, CA 92585 MENIFEE, CA 92584 Applicant Phone: 9516798369 RICH CARROLL License Number: 371783 HOUSETOP ROOFING 31760 BRIGGS ROAD MENIFEE, CA 92584 Fee Description Qtyt Amount($) Inspections not specified 98 98.00 GRE'E. ,EE 0 $126.00 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunderwhen in violation of the Building Code or of any other ordinance of City of Menifee. Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and e�ffect. Code:The Contractor's License Law does not apply to an owner of a property License Class �'— License No.�� 7 who builds or improves thereon, and who contracts for the projects with a Expires Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION 2ECILARA�TION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Cade, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. Policy# built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http'I/wvvw.ieainfo.ca.gov/calaw.html. permit is Issued.My workers'compensation insurance carrier and policy number are: Carrier 717f1 62t� Property Owner—or Authorized Agent Date Expires /2--�'3/��� Policy# '7 �y my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information 1 have provided is correct, I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued, I identified property for the inspection purposes. shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become �'��d7� C/*ZItVI( subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date Code,I shall forthwith comply with those provisions. City Business License# Date; Applicant; WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA _ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES 1�40 EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE - Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address �,,(0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT yr"" DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items)(Section 7031.5, Business and Professions Code: ��,,// BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, LvO SCHOOL? or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9 (commencing with / I HAVE READ THE HAZARDOUS MATERIAL ,� Section 7000)of Division 3 of the Business and Professions Code)or that he or INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPOR1 ING. compensation,will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X ,G %/ G�-t0 who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Y ' r Menifee NOV 19 201y DATE / PERMIT/PLAN CHECK NUMBER TYPE: 0 COMMERCIAL �KIRESIDENTIAL C> MULTI-FAMILY - MOBILE HOME CI POOL/SPA 0 SIGN SUBTYPE: ADDITION C,ALTERATION 0 DEMOLITION <% ELECTRICAL 0 MECHANICAL O NEW O PLUMBING 04E-ROOF-NUMBER.OF SQUARES DESCRIPTION OF WORK !mil PROJECT ADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME ADDRESS c�Z7 PHONE C ! 'Fe) 8S— EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNERBUILDER? %YES r9NO BUSINESS NAME ADDRESS PHONE EMAIL C��L.(/7 CONTRACTOR'S STATE LIC NUMBER _ 3-717 �-3 LICENSE CLASSIFICATION C- 13,9 VALUATION S79D SO FT ', g O <' L SO FT APPLICANT'S SIGNATURE DATE / OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I`% SMIP INVOICE 1:'a' PAID AMOUNT ^ 1 ,, AMOUNT Ia C)U C} CASH C%CHECK# �_ EDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT CASH CHECK It CREDIT CARD VISA/MC OWNER BUILDER VERIFIED YES I-) NO DL NUMBER NOTARIZED LETTER 0' YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 Prescriptive Certificate of Compliance: Residential Reroof CF-1 R-ALT-ReRoof Project Address: L I Climate Zone I Permit it p -� ROOFING PRODUCTS (COOL ROOFS) §151(f)12 When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 fC,whichever is less, the new roofing area must meet the roofing product "Cool Roof"requirements of§152(b)1Hi, 152j`b)IHIi, or 152(b)1 Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product"Cool Roof'requirements:: ❑ Cool roofs not required in Climates Zones 1-12, 14,and 16 with a low sloped roof pitch(less or2:12 pitch). ❑ Cool roofs not required in Climates Zones 1-9,and 16 with a steep-sloped roofs(greater pitch than 2:12)and product weight less than 5llb/ft?. Alternatives to §152(b)IHi and §152(b)Hii, Steep-slope roof (pitch> 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrft2..F/Btu or at least a 314 inch air-space is added to the roof deck over an attic;or ❑ Ing ducts in the attic are insulated and sealed according to§151(010;or In climate zones 10,12 and 13,with i ftzof free ventilation area of attic ventilation for every 150 fte of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or City of tvfenifee ❑ Building has at least R-30 ceiling insulation;or Building & Safety Dept. ❑ Building has radiant barrier in the attic meeting the requirements of§151(02;or ❑ Building has no ducts in the attic;or NOV 19 2014 ❑ In climate zones 10, 1 1, 13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to §152(b)l Hiii, Low-slope roof(pitch 52:12) ❑ Building has no ducts in the attic. Received Other Exceptions ❑ Roofing area is covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with al least 2511b/ft2 are exempt from the Cool Roof criteria. NOTE:If anyone of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in§118(i)are not applicable. Do not fill table below. Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Numberl <_ 2:12 >2:12 < 51b/ft2 >_ 51b/ft' Toe' Reflectadic" Emittance SR15 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑y No ter If no CRRC-1 label is available,this compliance method cannot be used, use the Performance Approach to show compliance, 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Councils Rated Product Directory at mnv.coolroois.Or Iurod'llcts/search oho 2.Indicate_the type of product is being used for the rooftop,i.e.single-ply roof asphalt roof,metal rool, etc. . If the Aged Reflectance is not available in the Cool Roof Rating Councils Rated Product Directory then use the Initial Reflectance value_from the same directory and use the equation (02+0.7(p;,,,q.,,—0.2)to obtain a calculated aged value. 4'/here p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. - 5. Calculate the SRI value by using the SRI- tVorksheet at hYo:lrSn r;r.enerov.ca.govltitle24/and enter the resulting value in the SRI Column above and attach acopy of the SRI-li/or:ksheet to thee CF IR. o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum perormance requirements listed in §118(1)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coaling ❑ Cement-Based Roof Coating ❑ Other NOTE: When a Cool Roof is required, the installing contractor shall completa and submit the CF-6R-ENV-01 for final inspection. Declaration Statement • I cenify under penalty of perjury,under the laws of the State of California, the information provided on this form is accurate and complete_. • i cedify that the energy feaWres and performance speciticaiions identified on lids Cerificat_of Compliance conform to the requirements of Title 24,Parts I and 6 of the California Coda of Reoulalions. Name: / Signature: Company: CXDate: 9/ Address. License'. '3 7/ �3ltlZ, .e�1 City;s!aLiZip: Prone: For assistance or question; regarding the Energy Standards, confact the Energy Hotline at: 1-800-772-3300.